Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN
Low
$0
Average
$30
Median
$9
High
$1.2k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
399 hospitals; the 90th percentile is 970.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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526 hospital rates
iThe hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $61 | $61 | — | — | 450 | $61 – $61 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $44 | $59 | $35 | 59% | 71 | $14 – $119 |
| 3 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | 60 | $6 – $6 |
| 4 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | 60 | $6 – $6 |
| 5 | University Medical Center of Southern Nevada Las Vegas, NV percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | 57 | $5 – $5 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $12 | $19 | 161% | 45 | $0 – $100 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $10 | $15 | 161% | 26 | $0 – $82 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $9 | $14 | 161% | 26–260 | $0 – $72 |
| 9 | Bexar County Hospital District San Antonio, TX other · outpatient | 1 | $26 | $26 | — | — | 26–260 | $26 – $26 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $9 | $14 | 161% | 23 | $0 – $72 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $10 | $15 | 161% | 15 | $0 – $82 |
| 12 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $0 | $0 | $0 | 23% | 15–150 | $0 – $0 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $10 | $15 | 161% | 11 | $0 – $82 |
| 14 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 2 | $0 | $0 | — | — | 11 | $0 – $0 |
| 15 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · bothfrom % of charges | 1 | $44 | $59 | $35 | 59% | 7–70 | $14 – $119 |
| 16 | Mission Regional Medical Center Mission, TX percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $15 | $2 | 11% | 6–60 | $13 – $17 |
| 17 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $16 | $13 | 81% | 5–50 | $2 – $38 |
| 18 | USA Health Children's & Women's Hospital Mobile, AL facility · other · outpatient | 1 | $4 | $4 | — | — | 5–50 | $4 – $4 |
| 19 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | 4–40 | $27 – $27 |
| 20 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $9 | $6 | 66% | 4–40 | $4 – $19 |
| 21 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $10 | $6 | 66% | 4–40 | $4 – $20 |
| 22 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $8 | $6 | 66% | 4–40 | $4 – $18 |
| 23 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 2 | $0 | $0 | — | — | 3–30 | $0 – $0 |
| 24 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | $9 | 53% | 2–20 | $8 – $25 |
| 25 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | $10 | 53% | 2–20 | $9 – $30 |
← Payers reporting HCPCS J1953 · Snapshot 20261111T120946Z-9134e7f7